Frontline Recovery LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FRONTLINE RECOVERY LLC

Practice address

4124 Quebec Ave N Ste 104
New Hope, MN 55427-1200

Phone

(763) 393-6194

NPI assigned

Jun 10, 2024

Last updated

Mar 9, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fadumo Ahmed

Title

Treatment Director

Phone

(612) 298-3306

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1447092515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 18TH AVE NE UNIT 18744",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554185532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 QUEBEC AVE N STE 104",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271200",
            "telephone_number": "763-393-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "FADUMO",
        "authorized_official_title_or_position": "TREATMENT DIRECTOR",
        "authorized_official_telephone_number": "612-298-3306"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Flores Robles, MFT
• Katherine Fern Flynn, CF-SLP
• Sherri Lee Ford, COTA/L
• Matthew Clay Freudenthal, D.C.
• Frontline Mobility LLC
• Brennah Mae Fulton, OTR/L
• Lizeth Gallini-Matyas
• Erica Gathje, M.D.
• Rachel Gatlin
• Kelsey Ann Gaul, LICSW

• Community/Behavioral Health Agency in New Hope, MN
• Providers in New Hope, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.